NPIMap

Organization Active NPI

Spectrum Health Primary Care Partners

Doing business as Corewell Health Medical Group West

  • Internal Medicine Physician
  • Grand Rapids, MI
National Provider Identifier
1689499667
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Doing business as
Corewell Health Medical Group West
Practice address
100 Michigan St NE
Grand Rapids, MI 49503-2560
Phone
(616) 486-6790
NPI assigned
Nov 15, 2024
Last updated
Nov 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ryan Catignani
Title
VP Provider Services
Phone
(947) 522-0008

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X

Addresses

Primary practice location

100 Michigan St NE
Grand Rapids, MI 49503-2560

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Other names 1

  • Corewell Health Medical Group West Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031121000091 MI Part B Supplier - Clinic/Group Practice 4587568647 Receives reassigned benefits from 3,022 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory
Tax ID family
BMMC Ferguson Clinic198 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations (25 of 63)

701 W Randall St
Coopersville, MI 49404
Phone (616) 837-9704

230 W Oak St
Ste 101
Fremont, MI 49412
Phone (616) 267-7400

8273 S Saginaw St
Grand Blanc, MI 48439
Phone (810) 579-7184

100 Michigan St NE
Ste 8850
Grand Rapids, MI 49503
Phone (616) 391-9415

100 Michigan St NE
Ste 8861
Grand Rapids, MI 49503
Phone (616) 391-2802

100 Michigan St NE
Ste D9220
Grand Rapids, MI 49503
Phone (616) 267-0305

1000 East Paris Ave SE
Ste 206
Grand Rapids, MI 49546
Phone (616) 942-0888

1000 East Paris Ave SE
Ste 246
Grand Rapids, MI 49546
Phone (616) 391-3304

1015 East Paris Ave SE
Grand Rapids, MI 49546
Phone (616) 301-6215

1179 East Paris Ave SE
Ste 200
Grand Rapids, MI 49546
Phone (616) 828-5727

1300 Michigan St NE
Ste 103
Grand Rapids, MI 49503
Phone (616) 459-8338

145 Michigan St NE
Ste 4100
Grand Rapids, MI 49503
Phone (616) 486-5993

145 Michigan St NE
Ste 4300
Grand Rapids, MI 49503
Phone (616) 486-6800

145 Michigan St NE
Ste 6300
Grand Rapids, MI 49503
Phone (616) 486-6000

1840 Wealthy St SE
Ste 3C51
Grand Rapids, MI 49506
Phone (616) 774-7444

1900 Wealthy St SE
Ste 180
Grand Rapids, MI 49506
Phone (616) 458-1200

221 Michigan St NE
Ste 502
Grand Rapids, MI 49503
Phone (616) 456-7758

2249 Wealthy St SE
Ste 110
Grand Rapids, MI 49506
Phone (616) 391-4600

25 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 267-0800

25 Michigan St NE
Ste 6200
Grand Rapids, MI 49503
Phone (616) 391-3301

2750 E Beltline Ave NE
Fl 1
Grand Rapids, MI 49525
Phone (616) 391-6271

2750 E Beltline Ave NE
Fl 2
Grand Rapids, MI 49525
Phone (616) 267-7015

2750 E Beltline Ave NE
Fl 3
Grand Rapids, MI 49525
Phone (616) 447-5820

330 Barclay Ave NE
Ste 203
Grand Rapids, MI 49503
Phone (616) 391-2123

35 Michigan St NE
Ste 3003
Grand Rapids, MI 49503
Phone (616) 267-2200

Practitioners & affiliated clinicians

Practitioners 2,916

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 2,916

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1689499667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560",
            "telephone_number": "616-486-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM HEALTH PRIMARY CARE PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "CATIGNANI",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "VP PROVIDER SERVICES",
        "authorized_official_telephone_number": "947-522-0008"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corewell Health Medical Group West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.